SHORT-TERM PSYCHODYNAMIC THERAPY. In this two-semester course you will be exposed to several forms of brief psychodynamic therapy:

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1 SHORT-TERM PSYCHODYNAMIC THERAPY 18:821:639 Fall 2011 Wednesday, 9:15 A.M. - Noon Stanley B. Messer Room A341 In this two-semester course you will be exposed to several forms of brief psychodynamic therapy: Time-Limited Psychotherapy (TLP) of Mann Time-Limited Dynamic Psychotherapy (TLDP) of Strupp, Binder and Levenson Short-Term Dynamic Psychotherapy (STDP) of Davanloo, Malan and Sifneos Brief Psychotherapy (BP) of the Mt. Zion Psychotherapy Research group Supportive - Expressive Therapy of Luborsky Brief Relational Psychotherapy of Safran and Muran The Experiential-Dynamic Short-Term Therapies of Fosha and McCullough (mostly second semester) The Fall semester will focus on selection criteria, the theory and technique of the basic models of brief psychodynamic therapy (BPT) and the initial interviews of brief therapy. The second semester will concentrate on the middle and termination phases of BPT. In the first class, I will give a lecture providing an overview of the field of BPT. In the first seven classes, I will present videotapes that will illustrate clinical technique and serve as a stimulus for our discussion of selection criteria and dynamic focus. In the following seven classes, participants will present a videotape of the first meeting with their potential client for brief therapy (video in Room 242 if possible.) The class will help formulate a dynamic focus and decide on the client's suitability for brief therapy based on the first interview and a summary of the second interview presented by you the following week. Readings will be discussed each week, so please be prepared. Each participant will carry one case under supervision. It is suggested that a second case be arranged through your practicum, if possible. A written exercise based on a Davanloo videotape will be due one week after it is presented. Please plan your schedules accordingly. A clinical paper based on your case will be required two weeks after your initial interviews. Another option is an essay on a BPT topic. A suggested supplemental reading in connection with your interviews and case write-ups is Messer, S.B., & Wolitzky, D.L. (2007), The psychoanalytic approach to case formulation, in T.D. Eells (Ed.), Handbook of psychotherapy case formulation, (2 nd ed.) New York: Guilford Press. A copy is available online. See especially the second half of the chapter and try to cover this ground in your case write-ups.

2 2 Learning Objectives 1. To learn the major BPT models 2. To learn selection criteria for BPT 3. To learn to conduct an interview to select and formulate uses for BPT 4. To get feedback on and improve one's clinical skills for BPT and LPT. 5. To conduct BPT with a selected patient. Introduction to the Spring semester: The pursuit of effective models of short-term psychodynamic therapy can be understood as a quest to indentify therapeutic change mechanisms and the interventions that best implement them. During the first part of the semester, we will focus on the notion of therapeutic change processes in psychodynamic therapy. Looking across the models from the first semester as well as at a recent integrative short-term dynamic model (Diana Fosha s Accelerated Experiential- Dynamic Psychotherapy), we will consider how the brief psychodynamic therapies use, modify, and/or reject traditional psychoanalytic concepts in their pursuit of accelerated change and increased effectiveness. During the second half of the semester, we will look at how short-term dynamic therapies adapt to particular clinical problems and contexts as well as what these adaptions may tell us about mechanisms of change. TEXTS FROM WHICH READINGS ARE TAKEN Davanloo, H. (Ed.) (1980). Short-term dynamic psychotherapy, Vol. 1. New York: Jason Aronson. (STDP) Flegenheimer, W.V. (1982). Techniques of brief psychotherapy. New York: Jason Aronson (TBP) Fosha, D. (2000). The transforming power of affect: A model of accelerated change. New York:Basic Books. *Levenson, H. (2010). Brief Dynamic Therapy. Washington, D.C.:American Psychological Association Press. (BDT) Magnavita, J.J. (1997). Restructuring personality disorders: A short-term dynamic approach. New York: Guilford Press. (RPD) Mann, J. (1973). Time-limited psychotherapy. Cambridge, Mass.: Harvard University Press. Softcover. (TLP) Mann, J. & Goldman, R. (1982). A casebook in time-limited psychotherapy. New York: Jason Aronson. (CB)

3 3 McCullough, Vaillant, L. (1997). Changing character. New York: Basic Books. (CC) McCullough, Kuhn, N., Andrews, S., Kaplan, A., Wolf, J. & Hurley, C.L. (2003) Treating affect phobia: A manual for short-term dynamic psychotherapy. New York: Guilford. (TAP) *Messer, S.B. & Warren, C.S. (1995). Models of brief psychodynamic therapy: A comparative approach. New York: Guilford. (MBPT) Muran, J.C. (Ed.) (2007). Dialogues on difference: Studies of diversity in the therapeutic relationship. Washington, DC: American Psychological Association Press. (DOD). *These two books contain most of the readings that come from books in the first semester. They are available at the Rutgers Bookstore in New Brunswick. Readings are available at the SAKAI Website for the course. Session DATE PRESENTATIONS 1 9/7 Introductory lecture on BPT (Stan Messer) 2 9/14 Video presentation of L.S. (James Mann) 3 9/21 Video presentation of K.N. (James Mann) 4 9/28 Video presentation of Mr.Johnson (Hanna Levenson) 5 10/5 Video presentation of M.H. (Jeffrey Binder) 6 10/12 Video presentation of J.M.K. (Session 1) (Stan Messer) 7 10/19 Video presentation of J.M.K. (Session 2) (Stan Messer) 8 10/26 Video presentation (Habib Davanloo) 9 11/2 First student case presentation Mid-term paper due (11/2) 10 11/9 Second case presentation: 11 11/16 Third case presentation: 11/23 Thanksgiving recess: No Class 12 11/30 Fourth case presentation: 13 12/7 Fifth case presentation:

4 /14 Sixth case presentation 15 12/21 Seventh case presentation; course evaluation (McCullough or Safran video) Session READINGS 1 Messer & Warren (MBPT) Preface, vii-xi only ch. 1 The advent of brief psychodynamic therapy: The context of practice, p. 3-12; The historical context of brief psychodynamic therapy, p The context of visions of reality, p Mann & Goldman (CB) 3 Messer & Warren (MBPT) ch. 1 A review of the treatment model, p.1-18 ch. 2 The selection of the central issue, p. 19 to bottom of p. 33. ch. 4 Case selection, p ch. 4 An integrative psychoanalytic model: Mann. Theory, focus, selection, technique, p only. Mann & Goldman (CB) ch. 3 Time, the central issue and the theory of therapeutic change in TLP p Messer & Warren (MBTP) ch. 4 An integrative psychoanalytic model: Mann. Theory of change, review of research critical evaluation, p ch.1 The context of learning and teaching brief psychodynamic therapy: emotional challenges. p Messer & Warren (MBPT) ch. 3 The relational model, p only. Levenson (BDT) ch. 2 History ( p )

5 5 ch. 3 Theory ( p ) Milrod, B. et al (2007). A randomized controlled clinical trial of psychoanalytic psychotherapy for panic disorder. American Journal of Psychiatry. 164:2, Levenson (BDT) ch. 4 The Therapy Process (p ) ch. 5 Evaluation (p ) ch. 6 Future Developments (p ) 6 Flegenheimer (TBP) ch. 6 The intensive brief psychotherapy of Malan, p Messer & Warren (MBPT) ch. 2 Review of research on Malan's Brief Intensive Psychotherapy, p Malan, D. The frontier of brief psychotherapy ch. 11 Planning and technique, p Davanloo (STDP) ch. 7 Trial therapy, p Davanloo (STDP) ch. 5 Response to interpretation, p Magnavita (RPD) ch. 4 How to formulate core issues, p Malan, D.H. (1986) Beyond interpretation: Initial evaluation and technique in short-term dynamic psychotherapy. Part I. International Journal of Short-term Psychotherapy, 1, Messer & Warren (MBPT) ch. 2 The drive/structural model, p ; McCullough, L. et al. (2003). (TAP) ch. 2 Affect phobia, psychodynamic conflict, and Malan s two triangles, p Leichsenring, E., Rabung, S., & Leibing, E. (2004). The efficacy of short-term psychodynamic psychotherapy in specific psychiatric disorders: A metaanalysis. Archives of General Psychiatry, 61, Messer & Warren (MBPT) ch. 3 The relational model, p only. Binder, J. & Smokler, I. (1980). Early memories: A technical aid to focusing in time-limited psychotherapy. Psychotherapy: Theory, Research and Practice, 17, p Optional Messer, S.B. (2001). What makes brief psychodynamic therapy time efficient?

6 6 Clinical Psychology: Science and Practice, 8, Fosha, D. (2006). Quantum transformation in trauma and treatment: Traversing the crisis of healing change. Journal of Clinical Psychology: In Session, 62, Larsen, A.E. (2002). Integrating attachment and affect theory with short-term dynamic psychotherapy. Review of D. Fosha, The transforming power of affect: A model for accelerated change. Contemporary Psychology Messer & Warren (MBPT) ch. 3 The relational model: Review of research, and A critical evaluation, p N.B. Abstracts of recent research articles on BPT, etc. 12 Safran, J.D. (2002). Brief relational psychoanalytic treatment. Psychoanalytic Dialogues, 12, Warren, C.S. (2002). Serving ambivalence: Commentary on paper by Jeremy Safran. Psychoanalytic Dialogues, 12, Altman, N. (DOD). Toward the acceptance of human similarity and difference, p Sass, L.A. (DOD) Commentary: Some reflections on racism and psychology. p Connors, M.E. (2010). Symptom-Focused Dynamic Psychotherapy. Journal of Psychotherapy Integration, 20, Messer & Warren (MBPT) ch. 6 Assessing and treating the difficult patient, p Seeley, K.M. (2004). Short-term intercultural psychotherapy: Ethnographic inquiry. Social Work, 49, Magnavita (RPD) ch. 6 Comprehensive restructuring of the personality, p Applebaum, S. (1979). Parkinson s law in psychotherapy. International Journal of Psychoanalytic Psychotherapy, 4, Greenberg, L.S., & Pascual Leone, A. (2006). Emotion in psychotherapy: A practice-friendly research review. Journal of Clinical Psychology: In Session, 62, Fosha, D. (2004). Brief integrative therapy comes of age: A commentary. Journal of Psychotherapy Integration, 14, only. Budman, S.H., & Gurman, A.S. (1988). ch. 5 Developmental dysynchrony. In Budman, S., & Gurman, A.S. (eds.), Theory and practice of brief therapy, p